[Distance Decay Effects in a Swiss Mental Health Services System].

IF 1.1 4区 医学 Q4 PSYCHIATRY Psychiatrische Praxis Pub Date : 2024-07-01 Epub Date: 2024-03-29 DOI:10.1055/a-2265-8375
Niklaus Stulz, Benjamin Dubno, Ralf Gebhardt, Urs Hepp
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Abstract

Objective: To investigate psychiatric service use depending on distances (travel times) to inpatient and outpatient service sites.

Methods: Retrospective cohort analysis of all patients aged 18-64 years who had been treated in a Swiss psychiatric services system in 2022.

Results: Outpatient service utilization rates decreased statistically significantly with increasing distance (travel time by public transportation) between the place of residence and the responsible outpatient clinic. For inpatient utilization, the distance decay effects were much less strong and did not always reach a statistically significant level.

Conclusion: In an easily accessible and economically reasonable psychiatric services system, inpatient and specialized services should be organized centrally, while general outpatient psychiatric services should be planned decentralized and close to the communities where people live.

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[瑞士心理健康服务体系中的距离衰减效应]。
目的方法:对2022年在瑞士精神病院接受治疗的所有18-64岁患者进行回顾性队列分析:对 2022 年在瑞士精神病服务系统接受治疗的所有 18-64 岁患者进行回顾性队列分析:门诊服务利用率随着居住地与负责门诊的诊所之间距离(公共交通旅行时间)的增加而明显下降。住院病人的使用率则受到距离衰减的影响,但这种影响并不明显,在统计学上也不总是达到显著水平:结论:在一个交通便利、经济合理的精神科服务体系中,住院病人和专科服务应集中安排,而普通精神科门诊服务则应分散规划,并靠近人们居住的社区。
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来源期刊
Psychiatrische Praxis
Psychiatrische Praxis PSYCHIATRY-
CiteScore
3.90
自引率
9.10%
发文量
103
期刊介绍: Sozialpsychiatrisch orientiert Aktuelle Originalarbeiten und fundierte Übersichten Pro-Kontra-Debatten zu Brennpunktthemen Informative Fallbeispiele Vorstellung internationaler Studien
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